Individual provider Active NPI

Anne Olivia Mesich, L.P.C., C.R.C., M.S.

  • Mental Health Counselor
  • Madison, WI
National Provider Identifier
1457683252
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1254134 Issued in WI
Practice address
2002 Atwood Ave Ste 203
Madison, WI 53704-5384
Phone
(608) 556-0752
NPI assigned
Feb 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4134125 WI
Mental Health Counselor 101YM0800X 1254134 WI Primary

Addresses

Primary practice location

2002 Atwood Ave Ste 203
Madison, WI 53704-5384

Mailing address

2026 Jenifer St
Madison, WI 53704-5527
Phone (608) 283-6315

Other practice location 1

6502 Grand Teton Plz
Madison, WI 53719-1047
Phone (608) 827-7220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1254134WIMDMental Health Counselor
4134125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Tree Counseling, LLC Mental Health CurrentSince Dec 10, 2023 Accepting new patients

Locations

2002 Atwood Ave
Ste 203
Madison, WI 53704
Phone (608) 556-0752

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1457683252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2026 JENIFER ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045527",
            "telephone_number": "608-283-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 ATWOOD AVE STE 203",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045384",
            "telephone_number": "608-556-0752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6502 Grand Teton Plz",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537191047",
            "country_code": "US",
            "telephone_number": "608-827-7220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MESICH",
        "first_name": "ANNE",
        "middle_name": "OLIVIA",
        "name_prefix": "Mrs.",
        "credential": "L.P.C., C.R.C., M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-03",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4134125",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "1254134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.